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NPI Detail
NPI: 1073535027
Type: Organization
Taxonomy Code: 261QE0700X
End-Stage Renal Disease Facility
Ambulatory Health Care Facilities/End-Stage Renal Disease (ESRD) Treatment
462 XXXXX XXXXXX
NEW YORK, NY 100169196
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
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2021 Part B Medicare Services Submitted*
| HCPCS Code △ ▽ |
Line Service
Count
△ ▽ |
Unique Beneficiary
Count
△ ▽ |
Average Submitted
Charge Amount
△ ▽ |
Average Medicare
Payment Amount
△ ▽ |
Total Medicare
Payment
△ ▽ |
|
XXXXX
|
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm |
XXX
|
19 |
$519.67 |
$235.40 |
$
XX,XXX.XX
|
|
Total Medicare Payments: |
$XXXXX.XX
|
* Source:
2021 Medicare Provider Utilization and Payment Data: Physician and Other Supplier
Medicare Referring Provider DMEPOS PUF, CY2021
2021 OPPS Part A Medicare Services Submitted NPI-1073535027*
OPPS Payment Method "A" - Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)
Top Level I HCPC Procedures
| Procedure | Description | Number Submitted | Medicare Payment |
| 36415
|
ROUTINE VENIPUNCTURE
|
XXXX
|
$XXXX
|
| 85027
|
COMPLETE CBC AUTOMATED
|
XXXX
|
$XXXX.XX
|
| 80048
|
METABOLIC PANEL TOTAL CA
|
XXXX
|
$XXXX.XX
|
| 96127
|
BRIEF EMOTIONAL/BEHAV ASSMT
|
XXXX
|
$XXX.XX
|
| 82948
|
REAGENT STRIP/BLOOD GLUCOSE
|
XXXX
|
$XXXX.XX
|
| 83036
|
HEMOGLOBIN GLYCOSYLATED A1C
|
XXXX
|
$XXXX.XX
|
| 80076
|
HEPATIC FUNCTION PANEL
|
XXXX
|
$XXXX.XX
|
| 80053
|
COMPREHEN METABOLIC PANEL
|
XXXX
|
$XXXX.XX
|
| 80061
|
LIPID PANEL
|
XXXX
|
$XXXXX.XX
|
| 85610
|
PROTHROMBIN TIME
|
XXXX
|
$XXX.XX
|
| 99283
|
EMERGENCY DEPT VISIT LOW MDM
|
XXXX
|
$XXXXXX.XX
|
Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J2426
|
Inj, invega sustenna, 1 mg
|
XXXXX
|
$XXXXXX.XX
|
| J2315
|
Naltrexone, depot form
|
XXXXX
|
$XXXXX.XX
|
| J1944
|
Aripiprazole lauroxil 1 mg
|
XXXX
|
$XXXXX.XX
|
| J9267
|
Paclitaxel injection
|
XXXX
|
-
|
| J2704
|
Inj, propofol, 10 mg
|
XXXX
|
-
|
| J2794
|
Inj risperdal consta, 0.5 mg
|
XXXX
|
$XXXXX.XX
|
| J1071
|
Inj testosterone cypionate
|
XXXX
|
-
|
| J0401
|
Inj aripiprazole ext rel 1mg
|
XXXX
|
$XXXXX.XX
|
| J9263
|
Oxaliplatin
|
XXXX
|
-
|
| J0894
|
Decitabine injection
|
XXXX
|
$XXXX.XX
|
| J1459
|
Inj ivig privigen 500 mg
|
XXXX
|
$XXXXX.XX
|
| J9271
|
Inj pembrolizumab
|
XXXX
|
$XXXXX.XX
|
| J2182
|
Injection, mepolizumab, 1mg
|
XXXX
|
$XXXXX.XX
|
| J9299
|
Injection, nivolumab
|
XXXX
|
$XXXXX.XX
|
| J1303
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Inj., ravulizumab-cwvz 10 mg
|
XXXX
|
$XXXXXX.XX
|
| J9264
|
Paclitaxel protein bound
|
XXXX
|
$XXXXX.XX
|
| J2405
|
Ondansetron hcl injection
|
XXXX
|
-
|
| J1100
|
Dexamethasone sodium phos
|
XXXX
|
-
|
| J2250
|
Inj midazolam hydrochloride
|
XXXX
|
-
|
| J0583
|
Bivalirudin
|
XXXX
|
-
|
Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0463
|
Hospital outpt clinic visit
|
XXXXX
|
$XXXXXXX.XX
|
| U0003
|
Cov-19 amp prb hgh thruput
|
XXXX
|
$XXXXXX.XX
|
| U0005
|
Infec agen detec ampli probe
|
XXXX
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$XXXXX.XX
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* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
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